Week 2 Depression

Question 1

Do PTs diagnose depression

Answer 1

no, we screen for it

Question 2

what is a major depressive episode

Answer 2

depressed mood or loss of pleasure in all activities and at least 5 associated symptoms for at least 2 weeks that impact function, social and occupational endeavors.

Question 3

what are some associated symptoms

Answer 3

weight loss, insomnia, hypersomnia, decreased hyperactive motor activity, fatigue, loss of energy feeling of worthlessness, guilt, diminished ability to think or concentrate, recurrent thought of death and suicide ideation or attempt.

Question 4

what is adjustment disorder with depressed mood

Answer 4

maladaptive reactions to identifiable psychosocial stressors that occur within 3 months of onset of stressors, that impaired social or occupational function or marked distressed in excess

Question 5

what are symptoms of adjustment disorder with depressed mood

Answer 5

depressed mood, tearfulness, feelings of hopelessness

Question 6

what is the two question depression test. if they answer yes, then what

Answer 6

“over the past two weeks, have you ever felt down, depressed or hopeless?”
“have you felt little interest or pleasure in doing things?”
YES: refer to an MD

Question 7

what is the geriatric depression scale, when do you need to refer out

Answer 7

30 questions, you get a point if you answer yes! if they get 10 points or higher, refer out.

Question 8

how do you score the geriatric depression scale

Answer 8

0-9 is normal
10-19 mild depression
20-30 severe depression

Question 9

what is the center for epidemiological studies depression scale

Answer 9

20 questions (CES-D), likert scalp questions, which over 16 needs referral

Question 10

TF: with the CES-D, the lower the number, the higher the depression

Answer 10

false, the higher the number the more likely.

Question 11

why is screening for depression important

Answer 11

suicide is more prevalent in the aging population that in the teenage population (16 vs 14%)

Question 12

the highest suicide rates are in the ___ age group

Answer 12

greater than 65 age group.

Question 13

why might the high suicide rate be in older people

Answer 13

aging adults may have been born and raised to feel that mental illness is stigmatized and emotions should not be emphasized, making them less likely to talk about it or seek help

Question 14

what are some physical illnesses faced by aging adults that can contribute to risk of depression

Answer 14

restricted mobility, assistance with self care, dependency, feeling burdensome.

Question 15

TF: depression can lead to further reduction in functional capacity

Answer 15

true

Question 16

TF: depression can increase risk of developing new illnesses

Answer 16

true

Question 17

how can we pharmacologically manage depression and the precaution

Answer 17

SSRIs, TCAs,. patients on tricyclic or tetracyclic antidepressives may have hypotensive side effects

Question 18

how can we use psychotherapy

Answer 18

aging adults don’t always seek that option, and health professionals demonstrate ageism

Question 19

what does exercise and activity do for depression

Answer 19

reduces depressive symptoms, and improves function

Question 20

TF: the timeline to accomplish goals in AA with depression is shorter

Answer 20

false, longer

Question 21

what is the focus on our training with AA and depression

Answer 21

on ADLs, because they require more energy and may be more difficult

Question 22

which is better, matter of fact, or cheerful

Answer 22

matter of fact

Question 23

what do we want to discourage and encourage

Answer 23

negative self perception and encourage achievement

Question 24

Can we assume if they are looking unmotivated they are lazy

Answer 24

no, because it takes a lot of energy to do some of these tasks sometimes.